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General NPI Number Information
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NPI Number | 1972553865
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Entity Type | Organization
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Legal Business Name | METROPOLITAN SOUND IMAGING INC.
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 09/18/2015
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Provider Practice Location Address
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Address Line | 66 CLIFF RD
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City | PORT JEFFERSON
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State | NY
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Zip | 11777-1033
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Country | US
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Telephone | 631-406-4210
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Fax | 631-406-4202
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Provider Business Mailing Address
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Address Line | 544 JEFFERSON PLZ #22
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City | PORT JEFFERSON STATION
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State | NY
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Zip | 11776-5001
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Country | US
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Telephone | 631-406-4210
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Fax | 631-406-4202
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Authorized Official
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Title or Position | CEO
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Name | MR. JAMIE ARTHUR KIRCHER SR.
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Credential | RT(R)
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Telephone | 631-406-4210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | 51023476
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License Number State | NY
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